Individual provider Active NPI

Ehab N. Ateia, D.D.S.

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1194750521
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49456 Issued in CA
Practice address
10399 Lemon Ave
Suite #106
Rancho Cucamonga, CA 91737-3770
Phone
(951) 333-7060
Fax
(909) 466-9519
NPI assigned
Jul 12, 2006
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49456 CA Primary

Addresses

Primary practice location

10399 Lemon Ave
Suite #106
Rancho Cucamonga, CA 91737-3770

Mailing address

10399 Lemon Ave
Suite #106
Rancho Cucamonga, CA 91737-3770
Phone (951) 333-7060

Other identifiers 1

IdentifierTypeStateIssuer
G93357-01OtherCADENTI-CAL PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49456CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Ateia DDS Inc Current Accepting new patients

Locations

10399 Lemon Ave
Ste 106
Rancho Cucamonga, CA 91737
Phone (909) 466-7966

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1194750521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10399 LEMON AVE",
            "address_2": "SUITE #106",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373770",
            "telephone_number": "951-333-7060",
            "fax_number": "909-466-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10399 LEMON AVE",
            "address_2": "SUITE #106",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373770",
            "telephone_number": "951-333-7060",
            "fax_number": "909-466-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEIA",
        "first_name": "EHAB",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "G93357-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.